Abstract | OBJECTIVE: To determine the cosmetic outcome of Y-V medial canthoplasty with medial canthal tendon shortening in Blepharophimosis syndrome. STUDY DESIGN: Quasi experimental study. PLACE AND DURATION OF STUDY: Department of Ophthalmology, Khyber Teaching Hospital, Peshawar, Pakistan, from June 2005 to April 2008. METHODOLOGY: Thirteen patients of Blepharophimosis syndrome aged 4 years and above were included in the study. Oculoplastic assessment including measurement of horizontal length of palpebral fissure, ptosis and intercanthal distance were done. All patients underwent Y-V medial canthoplasty with medial canthal tendon shortening by a single surgeon. Same measurements were repeated one week postoperatively and then 6 weeks after surgery and results compared with pre-operative findings. RESULTS: Twenty six eyes of 13 patients were included in the study. Ten (77%) patients were female and 3 (23%) were male. Mean age of all patients was 13.54 ± 6.99 years with a range from 4 to 28 years. Mean horizontal length of palpebral fissure of all 26 eyes was 22.88 mm before surgery and increased to 26.77 mm after surgery. Vertical pre-operative and postoperative height of palpebral fissure was 5.69 mm and 5.34 mm respectively. Mean pre-operative intercanthal distance of 37.46 mm was reduced to 32.08 mm postoperatively. Epicanthus inversus which was present in all (100%) eyes before surgery was successfully treated in 22 (84.6%) eyes after surgery. CONCLUSION: Y-V medial canthoplasty with medial canthal shortening in Blepharophimosis syndrome has excellent cosmetic outcome.
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Authors | Ibrar Hussain, Tajamul Khan |
Journal | Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
(J Coll Physicians Surg Pak)
Vol. 23
Issue 3
Pg. 182-5
(Mar 2013)
ISSN: 1681-7168 [Electronic] Pakistan |
PMID | 23458039
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Blepharophimosis
(surgery)
- Blepharoplasty
(methods)
- Blepharoptosis
(surgery)
- Child
- Child, Preschool
- Esthetics
- Female
- Hospitals, Teaching
- Humans
- Male
- Pakistan
- Postoperative Period
- Syndrome
- Treatment Outcome
- Young Adult
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